Permit CITY OF TIGARD MASTER PERMIT
' COMMUNITY DEVELOPMENT Permit p: MST2012 -00176
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/12/2012
Parcel: 2S109DA15200
Jurisdiction: Tigard
Site address: 15378 SW SUMMERVIEW DR
Subdivision: ARLINGTON HEIGHTS NO.3 Lot: 71
Project: Arlington Heights No. 3, Lot 71
Project Description: New SF
BUILDING
Floor Areas Required Setbacks Required .
Stories: 2 Bedrooms: 4 First: 1468 sf Basement: 0 sf Left: 5 Parking Spaces: 0
Height: 30 Bathrooms: 3 Second: 1632 sf Garage: 428 sf Front: 15 Smoke
Dwelling Units: 1 Third: 0 sf Right: 5
Detectors: Yes
Total: 3100 sf Value: $348,123.24 Rear: 15
PLUMBING
Sinks: 1 Water Closets: 3 Washing Mach: 1 Laundry Trays: 0 Rain Drain: 1 Urinals: 0
Lavatories: 4 Dishwashers: 1 Floor Drains: 0 Sewer Lines: 100 SF Rain Storm Sewer: 100
Tubs /Showers: 3 Garbage Disp: 1 Water Heaters: 1 Water Lines: 100 Drains: 0 Catch Basins: 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 1 Hose Bib: 2 Backwater Value: 1
Other Fixtures: 0
Drywall- Trench Drain: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 5 Clothes Dryers: 1
Natural Gas Heat Pump: N Hoods: 1 Other Units: 0
Fum<100K: 1 Vents: 0 Woodstoves: 0 Gas Outlets: 4
Fum > =100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp SrvclFeeders Branch Circuits
1000 sf or less: 1 0 -200 amp: 0 0 -200 amp: 0 W/ Svc or Fdr: 0
Ea add'I 500 sf: 6 201 -400 amp: 0 201 -400 amp: 0 W/O Svc/Fdr: 0
Mfd Home /Feeder /Svc: 0 401 -600 amp: 0 401 -600 amp: 0
601 -1000 amp: 0 601 +amp- 1000v: 0
1000 +amp /volt: 0
ELECTRICAL - RESTRICTED ENERGY
SF Residential
Audio & Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All
Other: N Other Description: Ecompasing: Y
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
NEW SF VB R - 3 3100
Owner: Contractor:
STONE BRIDGE HOMES STONE BRIDGE HOMES NW LLC Required Items and Reports (Conditions)
4230 GALEWOOD ST SUITE 100 16869 SW 65TH AVE # 505 1 Ersn Cntrl 503- 639 -4175
LAKE OSWEGO, OR 97035 LAKE OSWEGO, OR 97035 2 geo tech report required prior
to footing inspection
PHONE: 503 - 387 -7577 PHONE: 503 - 387 -7577
FAX: 503- 387 -7615
Total Fees: $20,826.75
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 • • g • 952 -0. 1090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By Permittee Signature: 4 f _ pkI 4 — i s— ,
Call 503.639.4175 by 7:00 a.m. for the next available Inspection date:
This permit card shall be kept in a conspicuous place on the job site until completion of the project
Approved plans are required on the Job site at the time of each Inspection.
'Building Permit Application
Residential , FOR OFFICE USE ONLY
City of Tigard Received
Date /B : /�— Permit No.: 14460/6/
a 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Ze
NI
�E
C Phone: 503.639.4171 Fax: 503.598.196 U L 0 9 2012 Date/B : / Other Permit: 4-6015f
TI G n It D Inspection Line: 503.639.4175 Dale Ready : y: Juris: ® See Page 2 for
Internet: www.tigard-or.gov
CITY OFTIGARD Notified/Method: Supplemental Information
TYPE O��OR NGDIVISI®1
REQUIRED DATA: 1- AND 2- FAMILY DWELLING
® New construction ❑ Demolition Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
❑ Addition /alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
® I- and 2- family dwelling ❑ Commercial /industrial Valuation: $ 34e5
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms: 3 4
JOB SITE INFORMATION AND LOCATION Total number of floors: 2.
Job site address: I V cm SUM MgRVI E1M 'dR . New dwelling area: 3 tc square feet
City /State/ZIP: Tigard, OR 97223 Garage /carport area: 424 square feet
Suite/bldg. /apt. no.: Project name: Arlington Heights Covered porch area: A square feet 1 10.ZC�,
Cross street/directions to job site: Deck area: square feet1413 0)
Other structure area: elf' square feet
REQUIRED DATA: COMMERCIAL -USE CHECKLIST
Subdivision: Arlington Heights Lot no.: , i Permit fees' are based on the value of the work performed.
Tax map /parcel no.: indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
DESCRIPTION OF WORK work indicated on this application.
New, Single Family Residential Valuation: $
Existing building area: square feet
New building area: square feet
® PROPERTY OWNER ❑ TENANT Number of stories:
Name: Stone Bridge Homes Type of construction:
Address: 4230 Galewood St, Suite 100 Occupancy groups:
City /State/ZIP: Lake Oswego, OR 97035 Existing:
Phone: (503)387 -7577 Fax: (503)387 -7616 New:
❑ APPLICANT ❑ CONTACT PERSON NOTICE
Business name: SEE ABOVE All contractors and subcontractors are required to be
Contact name: Deirdre Britt licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City / State/ZIP: applicant is exempt from licensing, the following reasons
apply:
- Phone: ( ) Fax:: (
E -mail: dbritt @stonebridgehomesnw.com
CONTRACTOR
Business name: SEE ABOVE BUILDING PERMIT FEES*
Address: (Please refer to fee schedule)
Structural plan review fee (or deposit):
City /State/ZIP:
FLS plan review fee (if applicable):
Phone: ( ) I Fax:(
CCB lic.: 173318 Total fees due upon application:
CO
�
Amount received: ?Z
Authorized signature !Q
This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name:TMZD isj'T'1' Date: cp. 05.17_ * Fee methodology set by Tri-County Building Industry
Service Board.
I: \Building \Permits \BUP -RES PermitApp.doc 10/01/09 4404613T(I I /02 /COM /WEB)
1
Plumbing Permit Application
Building Fixtures FOIL OFFlcl•: USE C)NL1
City of Tigard 1. e/By: 7 f t¢ ) Permit No.: r / r ,,' ;-cr /76
114 a 13125 SW Hall Blvd., Tigard, OR 97223
0 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 JUL 0 9 20, 2Date/By: Other Permit No.. Q n °--
Inspection Line: 503.639.4175 Date Read iwis: ®See Page 2 for
I' I G n R D Ready/ By:
www.tigard- or.gov CITYOFTIGA RI�'otified/Method: Supplemental Information
TYPE OF WORK BU 1 k 6 , FEE* SCHEDULE
® New construction ❑ Demolition For special information use checklist
Description I Qty. I Ea. I Total
❑ Addition/alteration/replacement ❑ Other: New 1- 2- family dwellings (includes 100 ft. for each utility connection)
CATEGORY OF CONSTRUCTION SFR(I)bath 312.70
O I- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 437.78
SFR (3) bath ‘ 500.32 15 672,32
❑ Accessory building ❑ Multi - family
Each additional bath/kitchen 25.02
❑ Master builder ❑ Other:
Fire sprinkler ( sq. ft.) Page 2
JOB SITE INFORMATION AND LOCATION LOCATION Site utilities:
b
Job site address: 1531 %W S UM M A ` I SW U12 • Catch basin or area drain 18.76
Drywell, leach line, or trench drain 18.76
City/State /ZIP: Tigard, OR 97223
Footing drain (no. linear ft.: ) Page 2
Suite/bldg. /apt. no.: I Project name: Arlington Heights Manufactured home utilities 50.03
Cross street/directions to job site: Manholes 18.76
Rain drain connector 18.76
Sanitary sewer (no. linear ft.: _) Page 2
Storm sewer (no. linear ft.: _) Page 2
Water service (no. linear ft.: ) Page 2
Subdivision: Arlington Heights I Lot no.: 7 I Fixture or item:
Tax map /parcel no.: Backflow preventer 31.27
DESCRIPTION OF WORK Backwater valve 12.51
Clothes washer 25.02
New, Single Family Residential
Dishwasher 25.02
Drinking fountain 25.02
F.jectors/sump 25.02
® PROPERTY OWNER I ❑ TENANT Expansion tank 12.51
Name: Stone Bridge Homes Fixture/sewer cap 25.02
Floor drain/floor sink/hub 25.02
Address: 16869 SW 65 Avenue #505
Garbage disposal 25.02
City/State /ZIP: Lake Oswego, OR 97035 Hose bib 25.02
Phone: (503)387 -7577 Fax: (503)387 -7615 Ice maker 12.51
❑ APPLICANT ❑ CONTACT PERSON Interceptor /grease trap 25.02
Business name: SEE ABOVE Medical gas (value: $ ) Page 2
Primer 12.51
Contact name: Deirdre Britt Roof drain (commercial) 12.51
Address: Sink/basin/lavatory 25.02
City/State /ZIP: Solar units (potable water) 62.54
Phone: ( ) Fax: : ( ) Tub /shower /shower pan 12.51
E -mail: dbritt @stonebridgehomesnw.com Urinal 25.02
Water closet 25.02
CONTRACTOR
Water heater 37.52
Business name: Jardine Plumbing Water piping/DWV 56.29
Address: PO Box 186 Other: 25.02
City/State/ZIP: Subtotal
ty Estacada, OR 97023
Phone: (503)351 -8532 Fax: (503) 6302882 Minimum permit fee: $72.50
CCB Lic.: 108747 Plumbing Lic. no.: 93- 1185347 Plan review (25% of permit fee)
,� State surcharge (12% of permit fee)
Authorized signature: _�j \��� TOTAL PERMIT FEE
Print name: Jay Jardine Date: This permit application expires if a permit is not obtained within 180 days
after it has been accepted as complete.
*Fee methodology set by Tri -County Building Industry Service Board.
I:\Building \Permits \PLMU- PerniIApp.doc 10/01/09 440- 4616T(10 /02/COM/WEB)
p o
Mechanical Permit Application FOR OFFICE USE ONLY
CI Of Tigard Received 7 lb 4 1 P No.: L
q 13125 Hal Blvd.,Tigard,OR 972 Date/By: lr���'�/
.111 . • . Phone: 503.639.4171 Fax: 503.598. Plan Review Other Permit Q�/g ..66/ 5 --g
Date /By:
TI G A R D Inspection Line: 503.639 Date Ready /By: Juris: ® See Page 2 for
Internet: www.tigard- or.gov JUL 0 9 2012 Notified/Method: Supplemental Information
TYPE OF TI if OFTI(jARD COMMERCIAL FEE* SCHEDULE — USE CHECKLIST
® New construction ❑ Addition/aRGISION Mechanical permit fees* are based on the value of the work
performed. Indicate the value (rounded to the nearest dollar) of all
❑ Demolition ❑ Other: mechanical materials, equipment, labor, overhead, and profit.
CATEGORY OF CONSTRUCTION Value: $
RESIDENTIAL EQUIPMENT / SYSTEMS FEES*
0 I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building
For special information use checklist.
❑ Multi- family ❑ Master builder ❑ Other:
Description I Qty. I Ea. I Total
y1 VMMEMI I Y� JOB SITE INFORMATION AND LOCATION Heating/cooling
Job site address: 155712 Air conditioning
�W S
(requires site plan showing placement) 46.75
City/State /ZIP: Tigard, OR Furnace 100,000 BTU (ducts/vents) ( 46.75
Furnace 100,000+ BTU (ducts/vents) 54.91
Suite/bldg. /apt. no.: Project name: Arlington Heights Heat pump 61.06
Cross street/directions to job site: Duct work 23.32
Hydronic hot water system 23.32
Residential boiler (radiator or
hydronic) 23.32
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 46.75
Flue/vent for any of above 23.32
Subdivision: Arlington Heights Lot no.: 1 I
Other: 23.32
Tax map /parcel no.: Other fuel appliances
DESCRIPTION OF WORK Water heater 1 23.32
Gas fireplace I 33.39
New, Single Family Residential Flue vent for water heater or gas
fireplace 23.32
Log lighter (gas) 23.32
Wood/pellet stove 33.39
Wood fireplace/insert 23.32
® PROPERTY OWNER I Chimney/liner /flue /vent 23.32
❑ TENANT Other: 23.32
Name: Stone Bridge Homes NW, LLC Environmental exhaust and ventilation
Address: 16869 SW 65 Avenue #505 Range hood/other kitchen
equipment I 33.39
City/State /ZIP: Lake Oswego, OR 97035 Clothes dryer exhaust ( 33.39
Single -duct exhaust (bathrooms, /�
Phone: (503)387 -7577 Fax: (503)387 -7616 toilet compartments, utility rooms) 'D 23.32 1((5,tD
❑ APPLICANT ❑ CONTACT PERSON Attic /crawlspace fans 23.32
Other: 23.32
Business name: same as above
Fuel piping
Contact name: Deirdre Britt $14.15 for first four; $4.03 for each additional
Address: Fumace, etc. ( 11,5
'
Gas heat pump
City/State /ZIP: Wall /suspended/unit heater
Phone: ( ) Fax:: ( ) Water heater 1
Fireplace 1
E -mail: dbritt @stonebridgehomesnw.com Range
CONTRACTOR Barbecue
Business name: Comfort Zone
Clothes dryer (gas)
Other:
Address: 1032 NW Corporate Drive MECHANICAL PERMIT FEES*
City/State /ZIP: Troutdale, OR 97060 Subtotal
Phone: (503) 667 -5595 Fax: (503) 491 -8252 Minimum permit fee ($90.00)
Plan review (25% of permit fee)
CCB lic.: 110091 State surcharge (12% of permit fee)
TOTAL PERMIT FEE
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
Print name: David Heldstab Date: • Fee methodology set by Tri -County Building Industry Service Board
I:\ Building Wennits\MEC -PermitApp.doc 10/01/09 440 -4617r(I1 /02/COM/WEB)
. ,..
Electrical Permit Application C�ri D FOR OFFICE USE ()NIA
Received
�1 GGt�..LL �p�r
City of Tigard Date/By: 7 / 2 ,o Permit No.: � -m /76
11 111 q 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review �''Q
0 Phone: 503.639.4171 Fax: 503.598.1960 J U L 0 9 2 012 Platemy: Other Permit: 4 - 25/ V
T I G n 1t D Inspection Line: 503.639.4175 Date Ready/By: Juris: ® See Page 2 for
Internet: www.tigard - or.gov CyfY OFTIGARD Notified/Method: Supplemental Information
TYPE OF WEIIILDINGDIV PLAN REVIEW
® New construction ❑ Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
® I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi - family ❑ Master builder ❑ Other: ❑Fire pump. ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system.
❑ Addition of new motor load of ❑ "A ", "E ", "I -2 ", "I -3 ",
Job no.: 1441_ Job site address: 153 SuMN.V� V- 100HP or more. occupancy.
❑
V ❑ Six or more residential units. Recreational vehicle parks.
City/State /ZIP: Tigard, OR 97223 ['Health-care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: Arlington Heights ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description I Qty. I Fee. I Total I •
New residential single or multi - family dwelling unit.
Includes attached garage.
Subdivision: Arlington Heights Lot no.: 1 I 1,000 sq. ft. or less 1 168.54 4
Ea. add'I 500 sq. ft. or portion 33.92 7D3,5 I
Tax map /parcel no.: Limited energy, residential ,�� 2
DESCRIPTION OF WORK (with above sq. ft.)
Limited energy, multi - family 67.84 2
residential (with above sq. ft.)
Services or feeders installation, alteration, and /or relocation
200 amps or less 100.70 2
® PROPERTY OWNER i ❑ TENANT 201 amps to 400 amps 133.56 2
Name: Stone Bridge Homes 401 amps to 600 amps 200.34 2
601 amps to 1,000 amps 301.04 2
Address: 16869 SW 65th Avenue #505 Over 1,000 amps or volts 552.26 2
City/State /ZIP: Lake Oswego, OR 97035 Temporary services or feeders installation, alteration, and/or
relocation
Phone: (503)387 -7577 Fax: (503)387 -7615 200 amps or less 59.36 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2
Owner signature: Date: Branch circuits — new, alteration, or extension, per panel
A. Fee for branch circuits with
® APPLICANT I ❑ CONTACT PERSON above service or feeder fee,
each branch circuit 7.42 2
Business name: SEE ABOVE B. Fee for branch circuits
without service or feeder fee,
Contact name: Deirdre Britt first branch circuit 56.18 2
Address: Each add'I branch circuit 7.42 2
Miscellaneous (service or feeder not included)
City/State/ZIP: Each manufactured or modular
dwelling, service and/or feeder 67.84 2
Phone: ( ) Fax: : ( ) Reconnect only 67.84 2
E -mail: dbritt @stonebridgehomesnw.com Pump or irrigation circle 67.84 2
CONTRACTOR Sign or outline lighting 67.84 2
Business name: City Electric Signal circuit(s) or limited -
energy panel, alteration, or
Address: 55568 SW Schaltenbrand Lane extension. Describe: Page 2 2
City/State /ZIP: Sherwood, OR 97140 Each additional inspection over allowable in an of the above
Per
Phone: (971) 404 -1714 Fax: (503) 625 -3052 inspection 66.25
Investigation per hour (I hr min) 66.25
CCB Lic.: 42422 Electrical Lic.: 26 -289C Suprv. Lic.: 35925 Industrial plant per hour 78.18
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: Subtotal:
Print name: Chuck Friesen Date: Plan review (25% of permit fee):
State surcharge (12% of permit fee):
Authorized signature: e›j TOTAL PERMIT FEE:
Print name: Date: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
• Number of inspections allowed per permit.
I:\ Building \Permits \ELC- PermitApp.doc 10/01/09 440-4615T( /05 /COM/WEB
1537 f u ,A& HHfL thew tee. .
14 444 Ai 1T 4 4 4r 5 * "3 l,.at 7 /
CI
Building Division
Development Code Provision Review
T i e n rz o Residential Projects
Building Permit No: H ll T29 1 t -d 174
CWS Service Provider Letter Received: Yes ❑ No ❑ N/A
Routed Plans:
Original Plan Submittal Date: 7 f / 2
1" Revision Submittal Date: ❑ Site Plan Only
2nd Revision Submittal Date: ❑ Site Plan Only
To the Applicant:
Each review type must be approved. If the plan is not approved, please revise and resubmit three (3) copies to the
Building Division. Only checked ( items are approved. Items not approved and those listed in the notes must be
revised prior to re- submittal. For questions please contact the appropriate staff person(s) listed above each section.
Staff: please check items along left only if approved. /`
Planning Review (contact < Li ' — r _, at 503 -718 -24/ 31� or a @tigard- or.gov)
•
Land Use Case No. v 2_0 0 G O( Name ji'KO 'Z a -3
. oning R'-1
Setbacks:
Front 15 Rear 15 — Side S Street Side / Garage Za
AT Maximum Building Height 35 Actual Building Height 3h'
.ErVisual Clearance
Er Easements
J Sensitive Lands Type: DV/4-
Notes:
Original Plan: Approved Vg Not Approved ❑ Date: 7 -/C' Z
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
Engineering Review (contact Mike White at 503 -718 -2464 or MikeW @tigard - or.gov)
Actual Slope: / 7
Notes:
Original Plan: Approved Not Approved ❑ Date: ( l J I
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
(Review Continues on Page 2)
Page 1 of 2
Ci r borist Review, (contact Todd Prager at 503 -718 -2700 or todd @ tigard - or.gov)
treet Trees
Protected Trees
Notes:
Original Plan: Approved / Not Approved ❑ Date: 7 "// - i d—
Revision 1: Approved ❑ Not Approved ❑ Date:
Revision 2: Approved ❑ Not Approved ❑ Date:
Permit Coordinator Review (contact Albert Shields at 503 - 718 -2426 or albert@tigard-or.gov)
❑ Conditions of Approval Prior to Issuance of Building Permit
Notes :
Original Plan: Date Sent to Applicant:
Revision 1: Date Sent to Applicant
Revision 2: Date Sent to Applicant
Okay to Issue Permit: Yes No ❑
Date Routed to Building: /
•
•
Page 2 of 2
REcE
• c B STONE JUL °9'012 OBE: 1442
• HOMEBsRINDwGE
B D l(3DIV IS ON D TE: 71
4230 GALEWOOD ST. SUITE loo PROPERTY: ARLINGTON
LAKE OSWEGO, OR 97035 a / (0' HEIGHTS
(5 3 i / h 10 CITY: TIGARD
/ /
37 . . SCALE: 1 " =20'
/ j •�� �/ PLAN: 175-OPTION-11
/ 1
I : -' 41 "
:/48, , �� G O 'RED /
4tie II II. 3S- ' , N/ 0
/ ' 3024 PL l / •,QaF 4
/, / - -
))
z -.TM /
/ �/ FF 3988 P3 0 I • / �r' ` FE. 3580 j i / ctl 0 Nf
4. 4
/ / \~ ' , 1• '•• `t ' // /l
QL / ii1 /�,
• .CONCRETE • • /
q 'F DRIVEWAY:- ' _ / 'r/
„ . 441 %. .... 1.., .• irip) . ... ..., ///// _ 7,,,
-. . • c• P ' %
4317 W . 4 ea * 1 : N • I , t' 1/141
�► , y ° C0
wee/ R
.,, N.P. Nit
%%4Itipit 'hb , 1.. rL\ "3 -
0
!,, / in. h�
LOT COVERAGE STREET TREES
LOT AREA: 5,990 SQ. FT.
BUILDING AREA: 2,416 SQ. FT. y
PERCENTAGE: 40.3% - FR.AXINUS OXICARPA
RAYWOOD ASN
NOTES:
ALL GRADE AND PROPERTY LINES ARE ESTIMATES OF CURRENT LOCATIONS.
ALL DIMENSIONS AND SQUARE FOOTAGE ARE APPROXIMATE FIGURES.
ALL RETAINING WALL HEIGHTS AND LOCATIONS ARE ESTIMATES.
THEY MAY VARY AND BE SUBJECT TO CHANGE. LOT ° II
DRIVEWAY MAY DIFFER DUE TO LOCATION OF UTILITY BOXES, 5,990 sq. ft.
STREETLIGHTS, AND OTHER SITE CONDITIONS.
A li
Oregon Residential Specialty Code R318.2
MOISTURE CONTENT ACKNOWLEDGEMENT FORM
, am the general contractor or the owner - builder
at the following address:
Site Address: / 5 3 �� fj/ S te - ..,.y J f� r
City:
0/
Permit #: W` S — 2e / Z 00 / 7.0
Subdivision/Lot #:
and /or •
Map and Tax of # T7
To conform with the 2008 Oregon Residential Specialty Code (ORSC), Section R318.2 and
OAR 918 - 480 -0140, I am notifying the building official that I am aware of the moisture content
Requirement of ORSC Section R318.2 and have taken steps to meet this code requirement.
[Section R318.2 is provided for reference].
R318.2 Moisture Content: Prior to the installation of interior finishes, the building
official shall be notified in writing by the general contractor that all moisture- sensitive
wood framing members used in construction have a moisture content of not more than 19
percent by dry weight of dry framing members.
Signature: - /'- Date: / IS
General Contractor or Owner- Builder
I: \ Building\ Form \RES- MoislureSensitiveWood.doc 09/25/08
Oregon Residential Specialty Code N1107.2
HIGH- EFFICIENCY INTERIOR LIGHTING SYSTEMS
Permit No.: S 20( —, �> Jurisdiction: 1 ✓
1 l ( G� G
Site Address: 53 5 u ivt-J or
Subdivision/Lot #:
and /or
Map and T Lot : 7
By my signature below, I certify that a minimum of fifty (50) percent of the permanently
installed lighting fixtures in the above mentioned building have been installed with compact or
linear fluorescent, or a lighting source that has a minimum efficacy of 40 lumens per input watt.
(Oregon Residential Specialty Code N1107.2)
Signature. v Date: l 5 J
—Owner /General Contractor /A : -• - . gent
Print Name: ✓�
ORSC Section N 1 107.2. High - efficiency interior lighting systems. A minimum of fifty (50) percent o the
permanently installed lighting fixtures shall be installed with compact or linear fluorescent, or a lighting source that
has a minimum efficacy of 40 lumens per input watt. Screw -in compact fluorescent lamps comply with this
requirement.
The building official shall be notified in writing at the final inspection that a minimum of fifty percent of the
permanently installed lighting fixtures are compact or linear fluorescent, or a minimum efficacy of 40 lumens per
input watt.
I: \Building\ Forms \RES -H ighEfficiencyLighting.doc 07/01/08
STREET TREE CERTIFICATION
•
. „
.:• • . _
I tj v e l s a Owner/Agent :for 5 I� N (15
(PLEASE PRINT) (PERMIT HOLDER)
Do hereby :certify that the followings location meets
City of Tigard and .Washington: County
land use and development standards .:for' street tree installation.
ADDRESS: S 3 7e S (.) SK n,. v", u.,i .11
SUBDIVISION: A 2 ; ti5 �� �5 �, ; S LOT: 7 1
SIGNATURE: '`Z DATE: / / , / $ - /
o, Ik� AGENT)
RECEIVED BY: DATE: /' - / Z
- - ( OF TTGARD)
I:\ Building \ Forms \Streetl'reeCertificate 01/19/07
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-- ea _ - Sustainable Balding and CYlmateSolutloru I earthadvantage.org
l Cu unf_89irslitule 808 SW 3rd Ave. Suite 800, Portland OR. 97204 503.968.7160
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inspection Date: I, - 3 7 - 9 r - Scr, kn V G-,r/ 17
- Address:
1 ,,
r : .Blower Door Test Results
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- Maximum Allowed ACH: 5.0 (for Earth Advantage) / 4.0 (for ENERGY STAR)
Actual CFM: i .W4Z
ACH: 3,
Verifier Signature (f f l // �/
• Energy Trust New Homes alVEER= .
- - Certified Residential Air Duct System ENERGY STAR plc
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• /53/8 S" Skreg•cvek.) PR-. EnergyTrust
` . Co m�a n irifonYiation x' °'
Company N. me / v t ; * 4 -L___
Technician / Date
`aCom bustlonA pplla cn e`Zone Test , �;
Main Zone Zone 2, if applies
CAZ WRT Outside Pa Pa
Baseline (WRT Outside, fans off) Pa Pa
NET CAZ Pressure (subtract
baseline from CAZ WRT outside) Pa Pa
Duct - Leakage (fill out one sticker_4per duct system)3°
Description of Area System Serves 42 J 0
Cond. Floor Area System Serves (ft'-) 3/0
iT es no Air Handler in conditioned space?
r yes no Air Handler present during test?
If "yes" for either, then ximum CFM is 75 CFM @50 Pa or
floor area x 0.06 = / d w CFM @50 Pa, whichever is greater. U
If "no" for both, then maximum CFM is 50 CFM @50 Pa or
floor area x 0.04 = CFM @50 Pa, whichever is greater. p
'Test Method: ❑ Leakage to Outside or EfrKtal Leakage V
Test Result .75 CFM @50Pa
Fan Pressure(/ W Pa Gauge type: ❑ DG -3 er G 0
Ring (circle one) O 1 2
- (3 J
Duct Blaster Location i nn F &V—, �
Pressure Tap Location ,�� SrioP Al